A9595 Medicaid reimbursement rate by state (2026)
Piflufolastat f 18 (pylarify), diagnostic, 1 millicurie. Medicaid pays a median of $611.76 for A9595 across 24 states, from $346.49 in Maine to $5,535.52 in Ohio.
- States publishing
- 24
- National median
- $611.76units vary by state
- Lowest
- $346.49Maine
- Highest
- $5,535.52Ohio
What does Medicaid pay for A9595?
24 state Medicaid programs publish a fee-for-service rate for A9595. The national median is $611.76 (units differ between states). Ohio pays the most, $5,535.52, and Maine the least, $346.49, a 16.0x spread.
A9595 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A9595?
It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $611.76. Ohio pays the most ($5,535.52) and Maine the least ($346.49).
Which state pays the highest Medicaid rate for A9595?
Ohio, at $5,535.52, effective 2025-04-01.
Do managed-care plans pay the same rate for A9595?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.